The Fulkerson osteotomy is an operation to re-align the tibial tuberosity antero-medially to alter the direction of the forces going through the kneecap.
|The patellar tendon is both medialised (moved towards the inner aspect) and brought anteriorly (moved forwards).|
What is distal realignment?
The Fulkerson osteotomy is one of a group of procedures to realign the patella (kneecap) distally (ie the lower end of the patella-tendon complex. Other distal realignment procedures include:
- Maquet procedure
- Elmslie-Trillat procedure
- Hauser procedure
- Roux-Goldthwait procedure
- many variants and modifications
Osteotomy of the Tibial Tubercle for Anteromedialization. Ferrari MB, Sanchez G, Kennedy NI, Sanchez A, Schantz K and Provencher MT. Arthrosc Tech. 2017 Aug; 6(4): e1341–e1346.